Individual
CARL M KAROUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4045 W 13 MILE RD, SUITE A, ROYAL OAK, MI 48073-6640
(248) 288-2160
(248) 288-0783
Mailing address
4045 W 13 MILE RD, SUITE A, ROYAL OAK, MI 48073-6640
(248) 288-2160
(248) 288-0783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301042923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636739
MEDICARE PLUS BLUE PPO
MI
Enumeration date
11/17/2005
Last updated
08/22/2019
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